HESI V2 health assessment EXAM
COMPREHENSIVE QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED ANSWERS (NEW)
2025
Save
Terms in this set (59)
,A 29 year old male client Correct answer is B, as assessment process includes
informs the nurse that he chief complaint which is how the patient describe why
came to the clinic to see if, he is here in the hospital or clinic and can't include
"Maybe I have lung cancer diagnosis.
or something," and wants
to get checked out since,
"I can't seem to get rid of
this body-wracking dry
cough that has been
hanging around for the
last six weeks." Which
computer documentation
of this client's concerns
should the nurse enter?
A. Presents with a hacking
non-productive cough of
6 weeks duration.
B. Describe having a
"body-wracking dry
cough" of 6 weeks
duration.
C. Expresses concern of
"lung cancer" symptoms
for last 6 weeks.
D. Young adult male
presents with fears that he
has "lung cancer"
,A 75-year-old client with a Correct answer is D, brisk 4+ response is correlated
recent history of a with hyperactive response.
cerebrovascular accident
(CVA) presents with right
hemiparesis. The nurse
tests the deep tendon
reflexes on the right side
and elicits a brisk 4+
response. Which
interpretation of this
finding is accurate?
A. A normal reflex
response.
B. Absent or sluggish
response consistent with a
lower motor neuron
lesion.
C. Flaccid paralysis.
D. Hyperactive response
consistent with an upper
motor neuron disorder.
, The nurse examines a Correct answer is D. McBurney's point is related to
client's abdomen. Which appendicitis and not spleen.
finding indicates an
abnormal response when
palpating the spleen?
A. Pain notes when
palpating McBurney's
point.
B. Tip of spleen palpable
when client is asked to
forcefully exhale.
C. Rebound tenderness
with compression over
right upper quadrant. D.
Firm mass palpated at
bottom of left rib cage.
In auscultating for the *under mandible towards lymph nodes. transverse to
presence of a carotid trachea
artery bruit, the nurse
places the bell of the
stethoscope at which
location?
COMPREHENSIVE QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED ANSWERS (NEW)
2025
Save
Terms in this set (59)
,A 29 year old male client Correct answer is B, as assessment process includes
informs the nurse that he chief complaint which is how the patient describe why
came to the clinic to see if, he is here in the hospital or clinic and can't include
"Maybe I have lung cancer diagnosis.
or something," and wants
to get checked out since,
"I can't seem to get rid of
this body-wracking dry
cough that has been
hanging around for the
last six weeks." Which
computer documentation
of this client's concerns
should the nurse enter?
A. Presents with a hacking
non-productive cough of
6 weeks duration.
B. Describe having a
"body-wracking dry
cough" of 6 weeks
duration.
C. Expresses concern of
"lung cancer" symptoms
for last 6 weeks.
D. Young adult male
presents with fears that he
has "lung cancer"
,A 75-year-old client with a Correct answer is D, brisk 4+ response is correlated
recent history of a with hyperactive response.
cerebrovascular accident
(CVA) presents with right
hemiparesis. The nurse
tests the deep tendon
reflexes on the right side
and elicits a brisk 4+
response. Which
interpretation of this
finding is accurate?
A. A normal reflex
response.
B. Absent or sluggish
response consistent with a
lower motor neuron
lesion.
C. Flaccid paralysis.
D. Hyperactive response
consistent with an upper
motor neuron disorder.
, The nurse examines a Correct answer is D. McBurney's point is related to
client's abdomen. Which appendicitis and not spleen.
finding indicates an
abnormal response when
palpating the spleen?
A. Pain notes when
palpating McBurney's
point.
B. Tip of spleen palpable
when client is asked to
forcefully exhale.
C. Rebound tenderness
with compression over
right upper quadrant. D.
Firm mass palpated at
bottom of left rib cage.
In auscultating for the *under mandible towards lymph nodes. transverse to
presence of a carotid trachea
artery bruit, the nurse
places the bell of the
stethoscope at which
location?
